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. 2015:2015:656459.
doi: 10.1155/2015/656459. Epub 2015 Oct 1.

Visual Internal Urethrotomy for Adult Male Urethral Stricture Has Poor Long-Term Results

Waleed Al Taweel  1 , Raouf Seyam  2
Affiliations

Visual Internal Urethrotomy for Adult Male Urethral Stricture Has Poor Long-Term Results

Waleed Al Taweel et al. Adv Urol. 2015.

Abstract

Objective. To determine the long-term stricture-free rate after visual internal urethrotomy following initial and follow-up urethrotomies. Methods. The records of all male patients who underwent direct visual internal urethrotomy for urethral stricture disease in our hospital between July 2004 and May 2012 were reviewed. The Kaplan-Meier method was used to analyze stricture-free probability after the first, second, third, fourth, and fifth urethrotomies. Results. A total of 301 patients were included. The overall stricture-free rate at the 36-month follow-up was 8.3% with a median time to recurrence of 10 months (95% CI of 9.5 to 10.5, range: 2-36). The stricture-free rate after one urethrotomy was 12.1% with a median time to recurrence of eight months (95% CI of 7.1-8.9). After the second urethrotomy, the stricture-free rate was 7.9% with a median time to recurrence of 10 months (95% CI of 9.3 to 10.6). After the third to fifth procedures, the stricture-free rate was 0%. There was no significant difference in the stricture-free rate between single and multiple procedures. Conclusion. The long-term stricture-free rate of visual internal urethrotomy is modest even after a single procedure.

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Figures

Figure 1
Figure 1
Stricture-free probability after the first, second, third, fourth, and fifth urethrotomies (Kaplan-Meier survival analysis).
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References

    1. Anger J. T., Buckley J. C., Santucci R. A., Elliott S. P., Saigal C. S. Trends in stricture management among male medicare beneficiaries: underuse of urethroplasty? Urology. 2011;77(2):481–486. doi: 10.1016/j.urology.2010.05.055. - DOI - PMC - PubMed
    1. Bullock T. L., Brandes S. B. Adult anterior urethral strictures: a national practice patterns survey of board certified urologists in the United States. Journal of Urology. 2007;177(2):685–690. doi: 10.1016/j.juro.2006.09.052. - DOI - PubMed
    1. Veeratterapillay R., Pickard R. S. Long-term effect of urethral dilatation and internal urethrotomy for urethral strictures. Current Opinion in Urology. 2012;22(6):467–473. doi: 10.1097/mou.0b013e32835621a2. - DOI - PubMed
    1. van Leeuwen M. A., Brandenburg J. J., Kok E. T., Vijverberg P. L. M., Bosch J. L. H. R. Management of adult anterior urethral stricture disease: nationwide survey among urologists in the netherlands. European Urology. 2011;60(1):159–166. doi: 10.1016/j.eururo.2011.03.016. - DOI - PubMed
    1. Granieri M. A., Peterson A. C. The management of bulbar urethral stricture disease before referral for definitive repair: have practice patterns changed? Urology. 2014;84(4):946–949. doi: 10.1016/j.urology.2014.06.014. - DOI - PubMed

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